CAJ | 학술논문

目的：探讨玻璃体切除术后高眼压的原因及处理方法。方法：回顾性分析2007-01/2010-03在院行玻璃体切除术482例511眼患者术后发生高眼压的原因及处理方法。结果：患者482例511眼中有140例141眼发生高眼压，发生率为27．6％。 C3 F8填充和硅油填充患者高眼压的发生率差异有统计学意义（P＜0．01）。联合环扎和未环扎患者高眼压的发生率差异有统计学意义（P＜0．05）。无晶状体眼和有晶状体眼患者高眼压的发生率差异有统计学意义（P＜0．01），外伤性和非外伤性患者术后高眼压发生率差异有统计学意义（P＜0．01）。结论：巩膜外环扎、C3 F8填充、无晶状体眼及外伤是玻璃体切除术后高眼压的高危因素。
목적：탐토파리체절제술후고안압적원인급처리방법。방법：회고성분석2007-01/2010-03재원행파리체절제술482례511안환자술후발생고안압적원인급처리방법。결과：환자482례511안중유140례141안발생고안압，발생솔위27．6％。 C3 F8전충화규유전충환자고안압적발생솔차이유통계학의의（P＜0．01）。연합배찰화미배찰환자고안압적발생솔차이유통계학의의（P＜0．05）。무정상체안화유정상체안환자고안압적발생솔차이유통계학의의（P＜0．01），외상성화비외상성환자술후고안압발생솔차이유통계학의의（P＜0．01）。결론：공막외배찰、C3 F8전충、무정상체안급외상시파리체절제술후고안압적고위인소。
AIM: To investigate the cause and treatment of high intraocular pressure ( IOP ) after pars plana vitrectomy ( PPV) . METHODS:Totally, 482 patients (511 eyes) underwent PPV from January 2007 to March 2010, were reviewed to explore the mechanism and treatment of high IOP after PPV. RESULTS: High IOP occurred in 140 patients ( 141 eyes), the rate of IOP elevation was 27.6%.The rate of IOP elevation was significantly between C3 F8 and silicone tamponading ( P<0.01).The rate of IOP elevation with sclera buckling was significantly different from that without sclera buckling ( P <0.05 ). The rate of IOP elevation in aphakia was different from phakia (P<0.01). And it was also had significant difference between traumatic and nontraumatic ones (P<0.01). CONCLUSION:The risk factors of IOP elevation include sclera buckling, C3 F8 tamponade, aphakia and trauma.